Esophageal function in esophageal atresia

In order to determine the spectrum of esophageal dysfunction in repaired esophageal atresia, 14 patients were evaluated with esophageal manometry, intraluminal pH recording, and radiology. Nine patients had no difficulty in swallowing but six had symptoms suggestive of gastroesophageal (GE) reflux....

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Bibliographic Details
Published in:Digestive diseases and sciences 1981-09, Vol.26 (9), p.796-800
Main Authors: Werlin, S L, Dodds, W J, Hogan, W J, Glicklich, M, Arndorfer, R
Format: Article
Language:English
Subjects:
Adolescent
Adult
Child
Child, Preschool
Deglutition
Esophageal Atresia - diagnostic imaging
Esophageal Atresia - physiopathology
Esophageal Atresia - surgery
Esophagogastric Junction - physiopathology
Esophagus - physiopathology
Female
Fluoroscopy
Gastroesophageal Reflux - complications
Gastroesophageal Reflux - physiopathology
Humans
Hydrogen-Ion Concentration
Inhalation
Male
Manometry
Peristalsis
Tracheoesophageal Fistula - surgery
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Summary:In order to determine the spectrum of esophageal dysfunction in repaired esophageal atresia, 14 patients were evaluated with esophageal manometry, intraluminal pH recording, and radiology. Nine patients had no difficulty in swallowing but six had symptoms suggestive of gastroesophageal (GE) reflux. On pH recording, six had evidence of GE reflux. Basal sphincter pressure was 22 mm Hg in both reflux and nonreflux patients. No patient had manometric evidence of peristalsis in the proximal esophagus, but six had peristalsis in the distal esophagus. On radiology all had a normal peristaltic stripping wave in the cervical esophagus, and peristalsis was absent in the proximal thoracic esophagus in all patients but present in the distal esophagus in five of the 10 patients studied. Esophageal dysfunction is present in all patients with repaired esophageal atresia even when symptoms are absent.
ISSN:0163-2116
1573-2568
DOI:10.1007/BF01309611